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DR. VASANA LERDVORATAVEE O.D.
NPI 1356332423
Optometrist - Vision Therapy in Montgomery, IL

Active since October 28, 2005PECOS EnrolledAccepts Medicare Assignment
1335 DOUGLAS RD, SUITE E, MONTGOMERY, IL 60538(630) 844-0908(630) 844-0677 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. Vasana Lerdvoratavee O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VASANA LERDVORATAVEE O.D. (NPI 1356332423) is an individual vision therapy provider in Montgomery, Illinois and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1994).

NPPES Registry Identity

NPI1356332423
Entity TypeIndividualFemale
Primary Taxonomy152WV0400X
Provider Legal NameDR. VASANA LERDVORATAVEECredential: O.D.
Location Address1335 DOUGLAS RD, SUITE EMontgomery, IL 60538-1634
Mailing Address1335 Douglas Rd, Suite EMontgomery, IL 60538-1634 · (630) 844-0908 · Fax (630) 844-0677
Phone(630) 844-0908
Fax(630) 844-0677
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1994
Enumeration DateOctober 28, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1356332423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
Also ListedOptometristTaxonomy 152W00000X
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X
1335 DOUGLAS RD, Montgomery, IL 60538
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vasana Lerdvoratavee O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183714629
PECOS Enrollment IDI20101213000353, I20260820000938
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Vasana Lerdvoratavee reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Scott Eye Care Ltd.
Same address
Optometrist
1335 DOUGLAS RD, SUITE E
Montgomery, IL 60538
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1013121433 (630) 844-0908
San Xavier District Office
1,415 mi
Public Health or Welfare
2018 W SAN XAVIER RD
Tucson, AZ 85746
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Ton Sells Hospital
  • 349 clinicians in this Medicare group
NPI 1073694832 (520) 295-2503
Ton San Xavier Health Center
1,417 mi
Public Health, Federal
7900 S J STOCK RD
Tucson, AZ 85746
  • Reassigned Medicare billing, Texas enrollment
  • 286 clinicians in this Medicare group
NPI 1437157302 (520) 547-8140
Ton San Simon Health Center
1,464 mi
Health Service
HIGHWAY 86, MILEPOST 84
Sells, AZ 85634
  • Reassigned Medicare billing, Texas enrollment
  • 268 clinicians in this Medicare group
NPI 1588834998 (520) 362-7007
Ton Santa Rosa Health Center
1,464 mi
Public Health, Federal
FEDERAL ROUTE 15, MILEPOST 12
Sells, AZ 85634
  • Reassigned Medicare billing, Texas enrollment
  • 94 clinicians in this Medicare group
NPI 1770581639 (520) 361-2403

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60538 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT EYE CARE LTD.
Optometrist
1335 DOUGLAS RD, SUITE E
MONTGOMERY, IL 60538
Kane County (630) 844-0908

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vasana Lerdvoratavee's NPI number?

The NPI number for Vasana Lerdvoratavee is 1356332423. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Vasana Lerdvoratavee located?

Vasana Lerdvoratavee practices at 1335 Douglas Rd Suite E, Montgomery, IL 60538. The listed phone number is (630) 844-0908.

What is Vasana Lerdvoratavee's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Is Vasana Lerdvoratavee enrolled in Medicare?

Yes. Vasana Lerdvoratavee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Vasana Lerdvoratavee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vasana Lerdvoratavee reassigns Medicare benefits to 5 organizations: Scott Eye Care Ltd. (Montgomery, IL), San Xavier District Office (Tucson, AZ), Ton San Xavier Health Center (Tucson, AZ), Ton San Simon Health Center (Sells, AZ) and Ton Santa Rosa Health Center (Sells, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vasana Lerdvoratavee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vasana Lerdvoratavee accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Vasana Lerdvoratavee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vasana Lerdvoratavee was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.